The nurse is providing care to a client admitted after experiencing an acute asthma attack. Which assessment findings should the nurse identify as signs that the client has progressed to respiratory failure? Select all that apply.

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Fundamentals of Nursing Oxygenation Practice Questions Questions

Question 1 of 5

The nurse is providing care to a client admitted after experiencing an acute asthma attack. Which assessment findings should the nurse identify as signs that the client has progressed to respiratory failure? Select all that apply.

Correct Answer: C

Rationale: Inaudible breath sounds (C) and reduced wheezing with an ineffective cough (E) indicate progression to respiratory failure, requiring immediate intervention.

Question 2 of 5

The nurse is placing a newborn baby in the nursery crib with the baby's back down. The mother tells the nurse that she doubts the baby will be able to sleep that way, as all the family members sleep on their stomachs. Which action by the nurse is appropriate?

Correct Answer: A

Rationale: Instructing that back sleeping reduces SIDS risk (A) educates the mother with evidence-based practice, addressing her concern.

Question 3 of 5

What are the different stages of the oxygen cycle?

Correct Answer: A

Rationale: The oxygen cycle includes three stages: oxygen release via photosynthesis, its use by aerobic organisms, and carbon dioxide release back to plants, as described in the document.

Question 4 of 5

A patient with COPD is unable to perform personal hygiene without becoming exhausted. What nursing intervention would be appropriate for this patient?

Correct Answer: D

Rationale: For a patient who is too fatigued to complete daily hygiene on his or her own, the nurse should group personal care activities into smaller steps and allow rest periods between the activities. The nurse should assist with bathing and hygiene tasks as needed and only when the patient has difficulty. The nurse should encourage the patient to voice feelings and concerns about self-care deficits, and teach the patient to coordinate diaphragmatic breathing with the activity.

Question 5 of 5

Which of the following is TRUE in postural drainage?

Correct Answer: A

Rationale: Postural drainage involves positioning the patient for 10-15 minutes per position to facilitate mucus drainage from the lungs, a standard practice in respiratory care.

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